Healthcare Provider Details

I. General information

NPI: 1063922326
Provider Name (Legal Business Name): BONNIE RUNIONS MSW, LISW, LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HOSPITAL DR
BATAVIA OH
45103
US

IV. Provider business mailing address

5221 STONELICK WILLIAMS CORNER RD
BATAVIA OH
45103-8617
US

V. Phone/Fax

Practice location:
  • Phone: 513-834-7063
  • Fax: 513-873-1567
Mailing address:
  • Phone: 513-274-3031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberS100465
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.100465
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2203516
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: